CHDP PM 160 Changes to the Current Billing Process

To: Primary Care Providers (PCP) From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: CHDP PM 160 Changes to the Current Billing Process Products: Medi-Cal Managed Care Effective: June 30, 2015 As a valued HPSJ provider, we want to make you aware of several coming billing changes. These changes are required by the […]

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Health Plan of San Joaquin (HPSJ) chief joins California Association Board with focus on health systems quality improvements

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) CEO Amy Shin has joined the board of the Oakland-based California Health Care Safety Net Institute (SNI), the research and quality improvement affiliate of the California Association of Public Hospitals and Health Systems (CAPH). As CAPH’s quality improvement partner, SNI designs and directs programs that […]

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Alert Formulary RX Update

To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Products: Medi-Cal, AIM Effective 4/1/2015, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Zoledronic Acid (Reclast 5mg IV) – PA required. Reserved for patients with documentation […]

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HPSJ Kicks Off Another Healthy Workplace Initiative (PORT O CALL, Greater Stockton Chamber of Commerce, May 2015)

On April 1, almost 200 staff participated in the first-ever Walking Day event held by Health Plan of San Joaquin (HPSJ) in partnership with San Joaquin General Hospital (SJGH). The event, to support the American Heart Association’s National Day of Walking, also marked the opening of a series of walking paths on the neighboring HPSJ […]

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DHCS Reporting Requirements related to Provider-Preventable

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: DHCS Reporting Requirements related to Provider-Preventable Conditions Business: Medi-Cal As of July 1, 2012 the Federal Affordable Care Act (ACA) requires that providers report all Provider-Preventable Conditions (PPCs) that are associated with claims for Medi-Cal payment or with courses of treatment furnished […]

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Provider Alert – HEDIS Lunch/Learn 4/29/15

Date: Wednesday, April 29, 2015 Time: Noon-1:30 pm Place: Health Plan of San Joaquin/Community Room Audience: Medical Assistants and Office Managers From: Health Plan of San Joaquin How to Improve HEDIS Rates and increase your Provider Incentive Please RSVP to Amanda Y (209) 469-8333 or Crystal (209) 461-2283 no later than Friday, April 24, 2015. […]

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Provider Alert – ICD-10 is coming 10/1

April 8, 2015 edition – In an ongoing effort to keep our Providers informed of upcoming changes, HPSJ would like to take this opportunity to once again remind you of the coming transition to ICD 10. We hope you’re ready! Why change? The periodic revisions of ICD-9-CM mirror changes in the medical and healthcare field. […]

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Health Plan of San Joaquin appoints new director (Lodi News-Sentinel, March 12, 2015)

Health Plan of San Joaquin announced Wednesday that Mike McCarns has been appointed as its director of customer service, effective March 2. McCarns has more than 20 years of health care-related call center and customer service management experience. McCarns was previously the executive director at Cognosante in Nashville, Tenn., where he managed the overall performance […]

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